J Korean Soc Transplant.
2001 Dec;15(2):251-255.
A Case of Tertiary Hyperparathyroidism Combined with Thyroid Papillary Carcinoma
- Affiliations
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- 1Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea. cchung@wonju.yonsei.ac.kr
- 2Department of Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea.
- 3Department of Pathology, Yonsei University Wonju College of Medicine, Wonju, Korea.
Abstract
- Secondary hyperparathyroidism is the condition which leads to excessive production of the parathyroid hormone secreted to compensate for longstanding hypocalcemia in chronic renal failure. After restoration of normal renal function, some patients continue to have autonomous parathyroid hyperfunction. In 1963 St. Goar termed it tertiary hyperparathyroidism. Hyperparathyroidism in the chronic renal failure is mostly well managed medically, but sometimes may require surgical intervention in refractory hyperparathyroidism. Recently, we have experienced a female patient diagnosed as tertiary hyperparathyroidism with persistent hypercalcemia after renal transplantation and report the results of subtotal parathyroidectomy and thyroid right lobectomy due to hyperparathyroidism and thyroid papillary carcinoma found coincidentally.
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